In 2024, Medicaid providers in Safety Harbor billed a total of $990,256 for services in the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 20.3% increase over 2023, when claims in this category reached $823,143.
Medicaid is a public health insurance program administered by the states with funding from both state and federal governments. It provides coverage for low-income individuals, families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health care system.
Since Medicaid is taxpayer-funded, shifts in local billing highlight how health care resources are distributed within communities.
The “National Codes Established for State Medicaid Agencies” category comprises Medicaid services grouped by the type of care delivered, organized using standardized HCPCS and CPT code classifications. For this analysis, each code was placed into one service category using uniform code prefixes and number ranges, ensuring related services are grouped together while maintaining clear rankings and avoiding duplicate counts over time.
Across service categories, Medicaid spending increased, but National Codes Established for State Medicaid Agencies led all categories by total Medicaid payments in Safety Harbor in 2024.
Statewide in Florida, the National Codes Established for State Medicaid Agencies category was the second largest by total Medicaid payment volume in 2024.
Looking at the five years prior to 2024, Medicaid payments connected to the National Codes Established for State Medicaid Agencies in Safety Harbor rose by $956,469, an increase of 2830.8%. Certain years, such as 2022 and 2021, saw particularly rapid increases.
While Medicaid-related spending for this category was reported throughout Safety Harbor, payments were largely concentrated in specific ZIP codes. For 2024, ZIP code 34695 recorded the highest Medicaid payment total for the National Codes Established for State Medicaid Agencies category at $990,256. This figure represented 100% of all such Medicaid payments for the city during the year, with the top ZIP code accounting for the full share.
Spending within the National Codes Established for State Medicaid Agencies category was focused on a small subset of billing codes.
Between 2024 and 2023, Medicaid payments tied to this category in Safety Harbor grew by 20.3%, compared with a 27.1% increase across all Medicaid claim categories in the city for the same period.
Centers for Medicare & Medicaid Services data show that combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal 2023, making up roughly 18% of total U.S. health expenses, up from $613.5 billion in 2019, before the COVID-19 pandemic.
This shift is a growth of nearly 40% in just a few years, attributed largely to rising enrollment and greater utilization during and following the pandemic.
Federal budget legislation under the Trump administration included notable proposals to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to lower federal Medicaid spending by over $1 trillion in the coming decade and implements measures like work requirements and higher cost-sharing, potentially reducing coverage and funding for some recipients. These changes are anticipated to shift costs to state governments and slow the growth of federal Medicaid support, while the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $33,787 | 169.8% |
| 2021 | $112,251 | 232.2% |
| 2022 | $386,263 | 244.1% |
| 2023 | $823,143 | 113.1% |
| 2024 | $990,256 | 20.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $990,256 | 71.5% |
| 2 | Evaluation and Management | $200,923 | 14.5% |
| 3 | Temporary National Codes (Non-Medicare) | $113,526 | 8.2% |
| 4 | Medicine Services and Procedures | $78,433 | 5.7% |
| 5 | Radiology Procedures | $2,033 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2032 | Res care, nos waiver/month | $658,000 | 11 |
| T1027 | Family training & counseling | $210,064 | 70 |
| T2003 | N-et; encounter/trip | $122,191 | 11 |
Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.
Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.


